Mohammed Elmarghany, Tarek M Abdelghaffar, Ahmed Elgeushy, Yehia Hasanin, Ehab Elzahed, Mohamed Nasr Akl, Ahmed M Khairy, Mohamed I Abulsoud, Mohamed Adel, Jorge Knorr
{"title":"骨架截骨术可改善Legg-Calve ' - Perthes病（LCPD）的疼痛和stulberg结局。","authors":"Mohammed Elmarghany, Tarek M Abdelghaffar, Ahmed Elgeushy, Yehia Hasanin, Ehab Elzahed, Mohamed Nasr Akl, Ahmed M Khairy, Mohamed I Abulsoud, Mohamed Adel, Jorge Knorr","doi":"10.52965/001c.133990","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Our ideal objective was to assess clinically and radiologically the efficacity of shelf osteotomy in early LCPD with epiphyseal extrusion without hinge-abduction and/or severe stages.</p><p><strong>Patients and methods: </strong>A prospective case study conducted at Al-Hussein Hospital, Cairo, Egypt on 20 children with unilateral LCPD, were treated with shelf acetabuloplasty. 14 boys and six girls shared , with 20 hips involved (11 right hip and 9 left hip).</p><p><strong>Results: </strong>The mean follow-up was 4.9 years (3-6 years). No cases complained of disability or activity limitation. ROM has greatly improved. Internal rotation improved from an average of 15° to 35.9°. Radiographic non union of the shelf was achieved in zero case.</p><p><strong>Conclusion: </strong>Shelf acetabuloplasty in early extruded femoral head and before extrusion improves and restores pain-free hip movements and improves sphericity of the femoral head and in turn stulberg functional outcome in children with perthes disease.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"133990"},"PeriodicalIF":1.4000,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021419/pdf/","citationCount":"0","resultStr":"{\"title\":\"Shelf osteotomy improves pain and stulberg outcome in Legg-Calve´- Perthes disease (LCPD).\",\"authors\":\"Mohammed Elmarghany, Tarek M Abdelghaffar, Ahmed Elgeushy, Yehia Hasanin, Ehab Elzahed, Mohamed Nasr Akl, Ahmed M Khairy, Mohamed I Abulsoud, Mohamed Adel, Jorge Knorr\",\"doi\":\"10.52965/001c.133990\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Our ideal objective was to assess clinically and radiologically the efficacity of shelf osteotomy in early LCPD with epiphyseal extrusion without hinge-abduction and/or severe stages.</p><p><strong>Patients and methods: </strong>A prospective case study conducted at Al-Hussein Hospital, Cairo, Egypt on 20 children with unilateral LCPD, were treated with shelf acetabuloplasty. 14 boys and six girls shared , with 20 hips involved (11 right hip and 9 left hip).</p><p><strong>Results: </strong>The mean follow-up was 4.9 years (3-6 years). No cases complained of disability or activity limitation. ROM has greatly improved. Internal rotation improved from an average of 15° to 35.9°. Radiographic non union of the shelf was achieved in zero case.</p><p><strong>Conclusion: </strong>Shelf acetabuloplasty in early extruded femoral head and before extrusion improves and restores pain-free hip movements and improves sphericity of the femoral head and in turn stulberg functional outcome in children with perthes disease.</p><p><strong>Level of evidence: </strong>IV.</p>\",\"PeriodicalId\":19669,\"journal\":{\"name\":\"Orthopedic Reviews\",\"volume\":\"17 \",\"pages\":\"133990\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-04-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021419/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Orthopedic Reviews\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.52965/001c.133990\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopedic Reviews","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.52965/001c.133990","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Shelf osteotomy improves pain and stulberg outcome in Legg-Calve´- Perthes disease (LCPD).
Objective: Our ideal objective was to assess clinically and radiologically the efficacity of shelf osteotomy in early LCPD with epiphyseal extrusion without hinge-abduction and/or severe stages.
Patients and methods: A prospective case study conducted at Al-Hussein Hospital, Cairo, Egypt on 20 children with unilateral LCPD, were treated with shelf acetabuloplasty. 14 boys and six girls shared , with 20 hips involved (11 right hip and 9 left hip).
Results: The mean follow-up was 4.9 years (3-6 years). No cases complained of disability or activity limitation. ROM has greatly improved. Internal rotation improved from an average of 15° to 35.9°. Radiographic non union of the shelf was achieved in zero case.
Conclusion: Shelf acetabuloplasty in early extruded femoral head and before extrusion improves and restores pain-free hip movements and improves sphericity of the femoral head and in turn stulberg functional outcome in children with perthes disease.
期刊介绍：
Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.
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